TIMOTHY J ULRICH (NPI# 1619263563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619263563 |
| Entity Type | Individual |
| Full Name | TIMOTHY J ULRICH |
| Credential | MD |
| Practice Address |
801 Pole Line Rd W Twin Falls ID 83301-5810 |
| Practice Telephone | (208) 814-1000 |
| Mailing Telephone | (208) 814-1000 |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2017-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
M-13706 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437232733 | Timothy Lee Ulrich | Physical Therapist | 5401 Douglas Ave, Racine, WI 53402-2034 | 2006-10-23 |
| Street Address |
801 POLE LINE RD W |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-5810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891784245 | Elizabeth Jo Johnson | Family Medicine | 801 Pole Line Rd W, Suite 3810, Twin Falls, ID 83301-5810 | 2005-10-18 |
| 1164022919 | Grace Honecker | Dietitian, Registered | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-10-30 |
| 1699384990 | Mckenzie Kennell | Pharmacist | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-07-23 |
| 1528676277 | Gregory Haws | Pharmacist | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-07-20 |
| 1699383349 | Taylor Sebert | Pharmacist | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-07-20 |
| 1740803931 | Peggy M Doshier | Social Worker | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-05-21 |
| 1457984718 | Edward L Fuchs | Pharmacist | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-02-14 |
| 1124659214 | Greg Hegman | Pharmacist | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-01-28 |
| 1598396772 | Amanda Lynn Tyler | Pharmacist | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-01-28 |
| 1881224327 | St Lukes Magic Valley Regional Medical Center Ltd | Pharmacy | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2020-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144269747 | Stewart Lawrence | Pediatrics | 6030 W Emerald St, Boise, ID 83704-8855 | 2006-06-06 |
| 1114346749 | Jordan Simpson | Pediatrics | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2014-04-10 |
| 1710277215 | Shelly Haug | Pediatrics | 3100 Channing Way, Idaho Falls, ID 83404 | 2011-04-18 |
| 1790939056 | Neonatal Associates, Pllc | Pediatrics | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2008-11-12 |
| 1316191976 | Brook Yuknis Lang | Pediatrics | 2003 Kootenai Health Way, Coeur D Alene, ID 83814 | 2008-11-10 |
| 1427222868 | Lisa Lynn Mcgill-vargas | Pediatrics | 2003 Kootenai Health Way, Coeur D Alene, ID 83814 | 2008-04-16 |
| 1780870360 | Nathan L Thornton | Pediatrics | 190 E Bannock St, Boise, ID 83712-6241 | 2007-09-18 |
| 1083825509 | Maggie Chen | Pediatrics | 2003 Kootenai Health Way, Coeur D Alene, ID 83814 | 2007-05-25 |
| 1558495796 | James W Vanlooy | Pediatrics | 190 E Bannock St, Boise, ID 83712-6241 | 2007-03-16 |
| 1619018470 | Kimberly Judd | Pediatrics | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2007-02-12 |
| Find all providers with the same taxonomy | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.